SECTION – 23

Formats
Format – I

Claim for Correction if any

To
The Secretary
U.C.A.T.A., C.U.

Dear Sir,

This to draw your kind attention for the following correction in the draft merit
list published.

Name:

Hons. Subject % of Hons. Marks:

Application Form No: S18… Group No.

A) Name not yet published in the Draft List:

B)

Published As Corrected Form

1. Name:

2. Hons. Subject

3. Hons. Marks

4. Genl/Pass Marks

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 Category Genl/SC
5. /ST//OBC-A/OBC-
B/ PWD List

6. Year of Passing

7. Others if any

Signature of the Candidate: Date-

PH NO. MOBILE NO.

Email

Format - II

Format of under taking to be submitted by the candidate at the Time

of Admission

To
The Secretary
U.C.S.T.A., C.U.

Dear Sir,

I do hereby declare that I did not get admission to P.G. Course any where at
present / I admitted and have already submitted a prayer for discontinuation to
the present department/ College/ University

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I do also under take that in future, if I get admission any where, I shall submit
my prayer for discontinuation before taking admission to that course.

I further undertake that if I get myself admitted in more than one Course/
College / University at a time my admission will be treated as cancelled in all the
cases.

I further undertake that I will submit application for Registration in C.U. along
with migration certificate from previous University within a month of Admission,
otherwise, I will not be entitled to appear in the 1st Semester & onward exams
(applicable for Non C.U. candidate only).

With regards,

Full signature of the candidate Date -

Name-

Honours Subject- % of Honours Marks / Entrance Test Marks :

Selected for Admission into 1st year course in ………………….

Application Form No: S18… Group No.

Format - III
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 Format of Mid term Counseling/ Call-UP for M.Sc / B.Tech.

To
The Secretary
U.C.S.T.A., C.U.

Dear Sir,

At the table counseling I got offer for ………………………………………………...... course(s)

I have selected for admission to ……………………………………. Course and I will get admission in
the said course.

Presently, I am a student of …………………………………………. Course and I declare that I am

interested to discontinue / continue the said course.

I also declare that if I do not get admission in the above selected course my admission in the present
course will be treated as cancelled.

I am not interested in the ………………………… course(s) offered at the time of counseling.

Name:________________________________ MOBILE NO:________________

Hons Sub:______________________

PART – A % of Hons. Sub. Marks / Final Score: ______________

PART – B Entrance Test Marks: __________________

Email:

Application Form No: S18………………… Group No.___________

Name of the University from where last qualified:___________________________________

____________________________
Signature of the Candidate Date:

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